MEDICARE: DR. RICHARD DUANE HEHN OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	803TX	WA
2	152W00000X	Optometrist	1001	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811015688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD DUANE HEHN OD

Provider Business Mailing Address
First Line	:	7827 MOUNTAIN AIRE LP SE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98503
Country	:	US
Telephone Number	:	360-493-1790
Fax Number	:	360-491-8702

Provider Business Practice Location Address
First Line	:	651 SLEATER KINNEY SE
Second Line	:	SUITE 1300
City	:	OLYMPIA
State	:	WA
Zip	:	98503
Country	:	US
Telephone Number	:	360-493-1790
Fax Number	:	360-491-8702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	07/08/2007

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